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Home My WebLink About483 20TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DfiIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 483 E 20TH ST Suite: Vicinity: GARAGE Parcel Number: 42632408 Applicant: GABRIEL, MICHAEL R Address: 483 E 20TH ST COSTA MESA, CA � � owner: GABRIEL, MICHAEL R Address 483 E 20TH ST COSTA MESA, CA Con tractor: O W N E R-B U I LD E R Address: Zoning: Phone: 949-646-6596 � Zip: 92627-2315 Phone: 949-6466596 Zip: 92627-2315 Phone: Status: ISSUED Applied: 04l10/2002 Issued: OSI14/2002 ISSUED BY: i�� EX'l�ENSIt)1V .ALLO�D EXPIR Zip: License: 0 Arch : Eng: MICHAEL GABRIEL Address: � Address: 3620 BIRCH ST Phone: SUITE 250 , Phone: 949-261-5083 N.B., CA Zip: License: 92660 License: 52939 SCOPE OF PERMIT 670 SF ONE AND TWO STORY STUDIO ADDITION TO AN EXISTING DETACHED GARAGE. RELOCATE EXISTING BATHROOM IN THE GARAGE. REF: ZA-01-71 Plan Check: $454.84 Permit: $699.75 SMIP Res: $5.73 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,160.32 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 90-0 PARKING Existinq: a NOTES: Rear 0- 0 Rear 10- 0 Required: 4 FEE SUMMARY Calc Valuation: $57,2a5.00 Claim Valuation: So.00 PLANNING & ZONING Lek 0- 0 Right Left S 0 Right Pr000sed: 4 25-6 NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall aulomatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorizad under this permit to be considered legal, such work must comply with ell applicable codes, and all requlred Inspections end final approvel must be obtained. Failure to oblain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaaa+s �eroo� WORKERS' COMPENSATION DECLARATION: ` I hereby aflR�n untler penelty ol perjury one of tha followinq declarations: - ° ❑ I have will meinfain e certificate of consent to selt-Insure tor workers' compensalion, as provitled tor by section 3700 oi the Lebor Cotle, lor the pertormencebi the work for 'ch Ihis permil is issuetl. , ❑ I have and wllDmaintain woAcers' compensetion insurance, es required by section 3700 of ihe Labor Code, br the pedormance of the work for whlch Ihis pertnit is Issued. My workers' coihpe'sation Insurence carder end polity number are: Cerrier: �y Policy Number: (This secfion need nof be completed il the permit is veluetl at ane hundred dollars ($100J or less.) �� 1 certity thet in the petlormance oi Ne work tor which Ihis permit is issued, I shail not employ any Oerson in any manner so as to �ecome subject to the workers' compensation laws ol CeObmia, end agrae � et il I ou10 b ome subject to the workers' compensation pmvisions of Sectlon 3700 of the Labor Code, I shall forihwith � omply_with.ihese provisi n ( ApplicaniSignatura: 1Data: �—�¢ ��i WARNIaG: FAILUFE TO SE WORKERS' COMP ATION CAVERAGE IS UNLAWFUL M1D SNALL SU&IECT AN EMPLOIEFl TO CRIMINAL PENALTIES NND (SVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE ($100, �, IN ADDITIIXJ TO COST OF COMPENSATION, DPN.AGES AS PROVIDED FOR IN SECfION 31060F TME LABOF CADE, IMEFEST, AND ATTORNE`fS FEES. LICENSED CONTRAC70RS OECLARATION: ��. I hereby ettirm that I em licensea unaer provisions ot Chapter 9(commencing wiM Section 7000) ot Division 3 of the Business and Professions Code, and my license is in tull force antl eflect. Lic. k Class k Goniractofs Signature: Date: CONS7RUCTION LENDING AGENCV: ❑ I hereby aHirtn Ihat thera is a construction lentling egency lor the Oertormance of Ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Coda). Lentlers Name: Lenders Address: Signamre: � Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihat under penalry ot perjury thet 1 em E%EMPT FROM 7ME CON7FiACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu end Professlons Cotle: Any ciry or wunry which requires e permit to construct, elter, improve, demolish, or repair any SWCNre, prior to its issuance, elso requires the epplicant for such pertnit to tile a signed statemem that he or she is IlcenseA pureuant to t�e pmvisions oi the Contractors License Law (Chapter 9(commencing with Section 7000) ol Division 3 of ihe Business end Professions Coda) or ihal he or she is exempt therelrom entl the basis for the alleged e:em0�ion. Any Nolation oi Section 7031.5 by any epplicent lor e pertnit subjects the applicant to a civil penalry af not more than five huntlred dollers ($500).): ❑ I, as owner of the propeny, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and ihe siructure is not intendetl or ottered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law dces not apply to an owner of property who builds or improves Ihereon, entl who does such work himsetl or herself or through his or her own employees, provitletl that such improvements are not intentled or offered tor sale. If, however, the builtling or improvement is sold within one year ot completion, the owner��uiltler will heve the burden of proving ihat he or she tlitl not 6uild or improve for purposa of sele.). ❑ I, as owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo construct tha pro�ecl (SeC. 7044, Business antl Professions Code: The contractors Licensa Law does not apply to an owner of property who huilds or improves ihereon, and who contrecis lor such project with e contractor(s) license pursuant to ihe Contraclors License Lews.). Signature: Venfication of Ownership by Business end Professions Code for ihis reeson: �. Ves ❑ No � Driver's License of do ment,'.e. - propeny tax bill or deedj: DIVISION OF INDUSTRIAL SAFETY PERMIT CEFTIFICATION: Date: Expires: ❑ I hereby certity that no exceve6on five (5) or more fee� in depih imo which e person is requiretl to tlescen4 will be mede in connection wlih work euthorized by this pertnit, and thai no building structure, scaHolding, talsework, or demolition or dismantling ihereot, will 6e more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, California Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require e pertnit trom the Division of Industnal Sefety, es noted ebove, unless suc� person hes e pertnit to do such work from the division. Signature: Date: Division ot Industnal Safery Permit Number: CERTIFlCATE OF COMPIJANCE AND AUTHORIZA710N OF ENTRV: I certify under penalry of perjury Ihat I have reatl this epplication and stata that the infortnation given is correct. I agree lo comply with all s:ate laws entl city orAinances releling to builtling construction, and authorize representatives of lhe Clry of Costa Mesa to enler upon �he above-desyc' d prop for ec e egree not to occupy or allow occupancy of any building authonzed by ihis permii u til final inspeqion. ��_ ./,�----� .5-/�-o'Z �� 1 alOre Ot Legal Owner(s)� Date l .�---__ AnNOr Authonzed Applicant Date CODE �. INSGECTIONTYPE 1616 Fixed System Final Fire Preveniion 1266 Pool Spa Finel 200 Final Re-Roof 201 Final8locWRetaining Well 202 203 Final Fadory Fira Place Final Sign 204 Final Demolition PAIE I[�A65 COOE I INSPECTION TYVE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 � Final Builtling/Occupancy Pdg III�LS .� NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT fEES PURSUANT TO AB 1600 ANO AB 181 To: (� City of Costa Mesa ( ) City oi Newport Beach ( ) Counry of Orange Applicant l'�I A��1 E L�, M 1 C NR-F_L— Address: U o � � - ��`� v+ Telephone Number. "1' 1`-1 — l O L( lf/ — l�� "1 � TracUParcel and Lot Number(s): Location of Project: �-/ � � � • �O*� �t Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaUlndustrial Projed is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial This project is exempt because ��x E1.84 x E .30 Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medical Otfice Otfice Park N° 3996 . Oistrict Receipt No. Plan Check No. �� Total � r 2� • C�� Total Preschool Auto Repair Hospital Large Ofice Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school facility fees in comptiance with Government Code sections 53080 and 65995. The Building Permi� for this square tootage in this proposed development may now be issued by your jurisdictlon. Checks are to be made payable to Newport-Mesa Unified School Dishict. The above representation as to square footage is We. AppUcant agrees that if k is later determined that such representations are not true, then this certficate shall automatically temtinate and ihe appropriate Cily/Counly shall be noti41Aq.14 28b2/2:29 Pti/f 123:.89 kCPi�1:81-GSy;i4d6 //_ � _ �9/// / � 122e153 Date: �/�� Michael R. Gabriel 483 E. 20`" Street Costa Mesa, CA 92627 949-500-9901 November 13, 2003 Ed Petros, Chief of Inspection City of Costa M�sa Building Oepartment 77 Fair Drive, P,O. Box 1200 Costa Mesa, Califomia 92628-1200 Dear Mr. Petros: A few weeks ago we discussed by telephone the possibility of extending the time allowed for completing the construction on two permits at the above address. This letter is an attempt to provide the explanation you requested conceming any time extension. Permit 602-00488: Items left for inspection: Final mechanical, final plumbing and final occupancy from building and planning. This is a permit for an adddion to the detached garage building. It is a separate structure from the residence. As of early this summer, my wife and I are in a divorce proceeding. This began near what should have been near the end of the construdion of this addition. In this legal proceeding most monetary funds are frozen when the initial papers are served. I delayed writing this letter because I hoped that a recent court date would shed new light on the availability of funds to complete the projecl- unfortunately most of the case has been continued again and there is no resolution yet. To complete the inspections above will require additional plumbing and mechanical work, shower tile work, countertops and railings for an approximate total cost of $20,000. I cannot be certain but the portion of the divorce proceeding pertaining to allowing release of money to complete this work should be resolved in the next one to two months (lawyers seem to have a way extending things uncontrollably). Additionally, the contrador I have been using for much of this work is out of the country for most of this month. I also know that, with the holiday's approaching, it will be di�cult to get work done in a timely manner. Accordingly I would like to request a six moMh extension on this pennit, although I woulq be grateful for any allowance of time. Pertnit B00-00325: Items left for inspeclion: Final occupancy/building. This was the original residence remodeling permit. As the pertnit numbers indicate the addition as described above was begun after the residence received final approval. Since the plumbing and electrical systems are now part of the residence system (same water heater, same electrical main panel), these items had to be completed forthe addition before the residence could receive a final inspeclion. The final eledrical inspeclion for the addition and house were completed the same day: May 23, 2003 (until recently I had not noticed that Randy entered an incorred date of 5/23/02 on the 800-00325 inspection card). This is soon before the aforementioned divorce proceedings hatl begun. No additional work should be required so the final irtspection for this permit can be completed now. In order to not waste the inspector's time I was scheduling inspections for each permil on the same day. As it became Gear that was not going to be possible I was attempting to get the final for the residence permit (B00-0035) by itself when I was infortned that a time limit had been placed on the completion of the inspections for each permit. Previously I had no knowledge or � Permit F�ctensian Request 483 E. 20`" Street Page 2 notification of this. Had I known any time constraint beyond that of six months from the last inspection existed, I would have contaded you and/or your o�ce immediately. In no way am I trying circumvent lhe building depa�tmeni requirements or to avoid completion of these projects. A very unfortunate combination of events have occurred that is restricling completion at this time. Any time extension accommodation that you can make would be greatly appreciated. This whole thing may sound overly complicated so please contact me at the cell phone number above for more cla�cation and to discuss what can be done. Sincerely, ichae��riel � (714) 754-5273 • Fax (7ta) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job nddress: 483 E 20TH ST Suite No Vicinily: GARAGE Parcel Nunmber: 42632408 Applicant: GABRIEL, MICHAEL R Address: 483 E 207H S7 COSTA MESA, CA owner: GABRIEL, MICHAEL R Address 483 E 20TH ST COSTA MESA, CA ConVactor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 uniLs) New Res (3+units) Pool / Spa Lighting Fix45 Recept OutleLs Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Molors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communicatlon drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole OWNER-BUILDER Phone: 949-6466596 Zip: 92627-2315 Phone: 949-64G6596 Zip: 92627-2315 Phone: Zip: license: 0 Status: ISSUED Applied: 05/14I2002 Issued: OS/14/2002 SCOPE OF PERMIT 670 SF ONE AND TWO STORY STUDIO ADDITION TO AN EXISTING DETACHED GARAGE. RELOCATE EXISTING BATHROOM IN THE GARAGE. REF: ZA-Ot-71 REF: B02-00488 523.50 $0.00 ao.00 50.00 50.00 50.00 $1870 $22.00 $16.50 $0.00 $0.00 50.00 50.00 $0.00 $0.00 so.00 $0.00 $0.00 30.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 17 20 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway/100ft Standing Sectlon Misc Electrical Equipment T2nsformers up to 1 kva/kw ................up l0 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or nde) Circus (mech ride or liqhts) Christmas Tree Stand Fireworks Stand Other ElecViral Fee Investigation Fee Plan Check Fee Reinspection Fee Quantiry $0.00 0 $0.00 0 so.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $80.70 COMMENTS / SPECIAL CONDITIONS NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permlt shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wlth all applicabie cotles, and all requlred Inepeetions and flnel epprovel must be abtained. Failure to obtain inspections and final approval wili result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaa+e (eroo) WORKERS'COMPENSAnON DECLARATON: I hereby eflirtn under penalry of perjury one of t�e following dedaratlons: � � _ ❑ I heve entl wlll �aintain a ceNficate ot consent to sell-Insure tor warkers' compensation, as provitled tor by sectlon 3700 oi the Lebor Cotle, lor the peAortnem:e oi the work tor which Ihis pertnit is isSueC. ❑ I heve en0 will maintain workers compensaUon insurance, es repuiretl 6y SecUon 3700 ot �he Labor Code, lor the pertortnance ot �he work tw which this pertnit Is Lssuetl. My workers' compensation Insurance carner antl pollcy num6er ere: - Cartier. PaliCy Number. (fhls secNon neetl nol be completetl il Ne permif !s vel�ed et one hund�ed dol/ars (5100J or less.) � I certily thet in lhe peAortnence of Ihe'work lor which thls pertnit is issuetl, I shall not employ any Dorson in any manner so as to become subject to tha workers' compensatian laws of Celltomia, and agree that It s�oulA become sub�ect to Ihe workars' wmpensatlon provisions ot Section 3700 of Iha Labor Code, I shell torthwith comply with Ihese provi 'ons. �/ �RP_II9enLSign� :- �Deta__ � �Y � � z WARMNO.'FFILURE TO RE WORKERS' CO NSATIdJ COVEMGE IS UNLAWFIIL AND SHALL SUBJECT AN EMPI.OYER TOCRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED T}IOUSAN� Op1ARE (5100.000), IN ADIXiION THE CO6T OF COMPENSATION, DMMGES /S PROVIDED FOR IN SECTIpJ 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm Ihet I am licensed under proNsions of Chapter 9(commendng with Section 7000) of Divislon 3 0l ihe Business antl Professions Cotle, end my license is in full �orce end enect. lJc. a ciass a CAniretlors SlgneNre: �ele: CONSTRUCTION LENDING AGENCY: ❑ I here0y eHirm ihat Nere is a consWction IenEing egency tor t�e pedormance ot Ihe work lor which Ihis pertnit is issuetl. (Sec. 3097, Civil Cotla). Lenders Name: Lenaels Atltlress: SigneNre: � Date: OWNER-BUILDER DECLARATIONS: 1 hereby eHlrm thet under penalry oi perjury ihet I em E%EMP7 FqOM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Buslness entl Professions Code: Any city or county which requires a permii to wnstruci, alter, improve, tlemolish, or repair eny structure, prior to Its issuance, elso requlres the applicant br such permii to file a signetl statement t�et he ar she is licensetl pursuent to the provislans ot t�e Contrectore License Lew (Chepter 9(cammencing with Section 7000) of Division 3 ot ihe Business and Proleulons Gode) or that he or she is e:empt Iherefrom and Ihe basis lor the elleged exem0�ion. Any violation oi Section 7031.5 by any applicant for a pertnit sub�ects the epplicent to e civil penalry of not more than tive �untlretl tlollare (S500J.J: ❑ I, as owner of the pmperty, or my employees with wages es their sde compensation, WILL DO TME WORK, and Ihe siructure is not intentled or ottered for sflle (Sec. 7044, Business entl Profeuions Code: The Coniraciore License Law does not apply to an owner of property who builds or improves thereon, antl who tloes such work himself or hersell or ihrough his or her own employees, provitletl that suU improvements ere not Intended or oHered for sale. If, however, the builCing or Improvement is sold wit�in one year ot completion, the owner-builder will have the burtlen ot proving that he or she did not build or improve tor purpose of sale.). ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha pmject (Sec. 7044, Business an� Professions Code: The contractore License Law tloes not eppty ta an owner oi pmperty who �uilds or Improves thereon, and who contracts tor such pmject with a contracror(s) license pursuant to the Contractors License Wws.). �❑ I em eaempt und sec. Signeture: Owner ID veri' y tlriver's licert. Vedlication ol Ownership by (rype Business and Professions Cade lor this reeson: Ves ❑ No i.e. - properry tex bill ar DIVISION OF INDUSTRIAL SAFETY PERMIT CEHTFICATION: ❑ I hereby ceNty that no exwvation live (5) or more feet in tlepth Into which a person is required to descentl, witl be made in connectlon with work eut�orizetl by Ihis permit, an0 ihat no building structure, scaHoltling, falsework, or tlemdition or tlismantling thereol, will be more ihan t�irty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title e, Celilamia AdminisiratNe Catle). ❑ Ps owner-bullder, I will not employ enyrone to Ao work w�ich would require e permlt frwn the Division ol Intlustrial Sefery, es noted ebove, unless such person hes e permi� lo do suth work from �he diNsion. Siqnatura: Dete: Dlvislon of Intlustrial Safary Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTMORQATION OF ENfAY: I cenify under penalry ol perjury t�et I have reatl this application end state that the infortnation given is conect I egree lo compty with all state �aws entl ctiry ordlnences relating to builGing construction, and authodze represenWtives of Ihe Ciry ol Costa Mesa to enter upon ihe �ebova-tlescnb d mpe lor i u es. gree not to occupy or allow occupency ol eny building euthonzed by this permit until linel inspection. � �� S-�/-o 2 ''��i ature OI Legal Owner(s) Data �AnNOr Authodzotl Applicem Date CO�E I, INSPECTIONTYPE Qsg �L$ 1fit8 Fixetl System Final Fire Prevention 1288 200 201 202 203 Pool Spa Finel Finel Re-Root Final BIocWRelaining Well Final Fectory Fire Place Final Sign 204 Finol Demolilion , � COOE 1 INSPELTION TYPE 206 Final Mechanicel 208 Finel Plumbing 210 Finel Electrical 212 Final Fire Preventian 220 Final Plenning Apprwal 222 Finel Site 250 Finel Building/Oaupancy PAIE sa3 03 It{� a 4 4� p O e � 1 : J�� (714) 754-5273 • Fa�c (714) 754-4856 CIN OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT PLUMBING PERMIT .lob Address: 483 E 20TH ST Suite No Vicinity: MASTER BEDROOM & BATHROOM Parcel Nunmber: 42632408 Applicant: GABRIEL, MICHAEL Address: 483 E 20TH ST COSTA MESA, CA owner: GABRIEL, MICHAEL Address 483 E 20TH ST COSTA MESA, CA Contrector: .'OWNER-BUILDER , � " 'Address: ' ` ' Arch / Eng : Address: Phone: (949) 646-6596 Zip: 92627 Phone: (949)646-6596 Zip: 92627 Phone: Zip: License: 0 Phone: Zip: License: ► � PERMIT NUMBER P00-00245 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: OS/10/2000 Issued: OS/70/2000 ISSUED BV: SCOPE OF PERMIT PLUMBING PERMIT FOR ADDITION TO SINGLE FAMILY RESIDENCE. INSTALL 1 SHOWER, 1 WATER CIOSET, 1 BATHTUB, & 7 DOUBLE WASH BASIN. REF:B00-00325 ISSUE FEE Backflow i«igation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain � Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 so.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 30.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 � 50.00 QTY FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect 50.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 i 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr Bkflow(7-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Soflener OTHER VIOLATION PLAN CHECK REINSPECTION � AMT $0.00 50.00 50.00 $0.00 50.00 50.00 50.00 59.80 50.00 59.80 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 TOTAL CALCULATED FEES: 562.70 QTY 0 0 0 0 0 0 0 7 0 t 0 0 0 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is no4commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for the work aulhorized under lhis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby affirtn untler penalry Of perjury one ot tha tollowing declarations: ❑ I have antl wlll maintaln e certificate of consent to salf-Insure for workers' compensetion, as provided for by section 3700 of the Labor Code, for ihe peAormance of the work for which this permit is iuued. F ❑ I �ave and will m�intain workers' compensafion insurance, as required by section 3700 ot the Labor Code, tor the peAormance of the work for which this pertnit Is issuetl. My workers' compensation Insurence carrier entl policy num6er are: . Carrier. 4� Pollcy Numher: (ihis sectlon need nat be comp/efed7! fhe permit !s veluetl af one huntlretl Uollers ($100) oNess.J ❑ I cetlity that in the pertormance of the work for which this permit is issuetl, I shall not employ any person in any menner so as to become subject to the workers' compensation laws of Califomia, end agree that if I should become subject to the workers' compensation provisions of Section 3700 oi Ihe Labor Code, I shall fonhwith com0ly wlth these provislons. Applicant Signe�ure: Date: WARNING FAILURE TO SECURE WORKERS' COMPENSATON COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA�TIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLIARE (5100,000�, IN ADDITION TO TME COST OF COAIPENSATION, OAMAGES AS PROVIOED FOP IN SECTION 31060F THE LABOR CODE, INrEREST, AND ATiOPNE1^S FEES. UCENSEDCON7RACTORSDECLARATON: I hereby aHirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Dlvislon 3 of Ihe Business antl Professions Code, and my license is in tull force end eflect. Lic. # Class N Contractors Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm thet t�era Is a construction lending agency for �he peAormance of lha work for which Ihis permit Is issued. (Sac. 3097, Civil Cotle). Lender's Neme: Lentler's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I here6y attirtn Ihat untler penalry ot Derjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to consiruct, elter, impmve, demolish, or repair any struaure, prior to Its Issuence, also requires the appliwnt for such permit to file e signed statement Ihat he o� she is licansed pureuant to the provisions of the Contracbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Cotle) or that �e or she is exempt theretrom and ihe basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant tor e pertnit subfects the applicant to a civil penalty oi noi more than five hundred dollars ($500).): � I, es owner of the property, or my employees with wages as iheir sole compensetion, WILL DO THE WORK, and the siructure is not intendatl or ottered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not appy to an owner of propeny who builtls or improves thereoq and who does such work himsetl or herself or ihrough his or her own employees, pmvided that such improvements are not intended or ottered for sale. If, however, ihe builtling or impmvement is soltl within one year of completion, ihe owner-builder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner oi ihe pmperty, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and Pmfessions Code: The contrectors Llcense Law does not apply to en owner of property who Duilds or impmves thereon, and who coniracts for such project with a con(ractor(s) license pursuant to ihe Contractorslfegye Laws.). ❑ I am exem a Signature: Owner ID e y drivers� Verification of Ownership by Business and Professions Cotle for this reason: !e. ❑ Yes ❑ No � Drivels License No. of document, i.e. - properry tax bill or daed): �i�� ' �� (� - / i / DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more teet In depth into which a person is required to descend, will be mede in connection with work authorizad 6y Ihis permit, antl t�at no builtling siructure, scattoltling, falsework, or demolition or dismantling Ihereoi, wilt be more fhen thirty-six (36) feet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 0, Californie Adminisirative Code). ❑ A5 owner-bulltler, I wlll not employ anyrone to do work which would reduire e permit Irom Ihe Division of Industnel Safety, as noted above, unless such person has a permlt to tlo such work irom �he tlivislon. Signature: Date: Division of Intlustnal Sefery Pertnit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I cartiy under penalty of perjury that I have read this application and state Iha� the information given is correct. I agree to comply with all sta ws entl c' ordinances rela�ing to building construction, end euthorize representatives oi the Ciry of Costa Mesa m enter upon the abova-tles 'b pro fiy lo p s� gree not to occupy or ellow occuDancy of eny builtling euthonzed by ihis permit until final inspection. 6'-l0•B1J ' Sj, eture Of Le al Owner(s) Data --� And/OrAuthonzetl Applicant Date GODE �, INSiECTIONTYPE 1616 Fixed System Finel Fire Prevention 7266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Fin01 Fadory Fira Place 203 Flnel Sign 204 Final Demalition 2448<6 Qa¢, INiIfIALS CODE� INSGECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlingiOccupancy P�IE 1[�9L5 • • .. � � Lp f a �J �� CITY OF COSTA MESA J BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT (714) 754-5273 • Fax (714) 754-4856 Job nddress: 483 E 20TH ST Suite No Vitinity: iST 8 2ND STORY ADDITION Parcel Number: 42632408 Applicant: GABRIEL, MICHAEL Address: 483 E 20TH ST COSTA MESA, CA Owner: GABRIEL, MICHAEL Address: 483 E 20TH ST COSTA MESA, CA Contrector. Address: Arch / Eng : Address: RESIDENCE. REF: 800-00325 OWNER-BUILDER MECHANICAL PERMIT Phone: (949) 646-6596 Zip: 92627 Phone: (949) 646-6596 Zip: 92627 Phone: Zip: License: 0 Phone: Zip: License: 77 FAIR DRIVE, ISSUED BY: �P RMIT NUMBER w10� ' �� Status: ISSUED Applied: OS/t012000 Issued: OSnO/2000 SCOPE OF PERMIT MECHANICAL PERMIT FOR ALTERING DUCTWORK FOR NEW ADDITION TO SINGLE FAMILY ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000c(m AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater 523.50 $0.00 50.00 $1370 $0.00 $0.00 so.00 $0.00 so.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Quantity 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / All Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I ncine rator Domestic Incinerator Campressors / Absorption Svstems Upto3hpl100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 7,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quaniity $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 so.00 0 so.00 0 50.00 0 50.00 0 so.00 0 50.00 0 50.00 0 50.00 50.00 $0.00 537.20 NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaticalty expire and become void if work is nobcommenced within 180 days, or if work is suspended or abandoned for e penod of 1 BO days. INSPECTIONS: In order tor the work authorized under this pertnit to be considered legal, such work must comply with all epplicable codes, and all requlred Inepectione end flnal epproval must be obtained. Feilura to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby aflirm untler penalry ot perjury one ol the tollowing Aeclaratlons: ❑ I have and wlll melnteln e certfflwta ot consent to selt-Insure lor workers' wmpensatian, es provided tor by sectlon 3700 oi Iha Labor Cotle, for Ihe paAortnance of the work lor which this permit is issuetl. ' ❑� I have end will main4�jn workers' compensailon insurence, as requiretl by settion 3700 of the LeDor Cotle, for the peRortnance of ihe work for which this permit is issuatl. My workers' compen5atlon Insurence cartier end policy number ere: . Cerrier. PoliCy Number: (Thls section need nat be canp/e(ed!! the permit Is velued at one hundred dallers (3100) or less.) ❑ 1 canity thet In Iha pertormance ol the work for which tNs permit is issued, I shell not employ eny person in eny manner so es to become subject to tha workers' compensalion laws of Celtlomle, end egree Ihe� If I should becroma subject ta the workars' compensatlon provislons of Section 3700 of the Lebor Code, I shall forthwith comply with tnese provisions. Applicant Signature: Date: WAPNINQ: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNlAWFUL AND SHALL SU6IECT Ml EMPLOYER TO CRIMINAL PENALTIES AND CIVI� FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3�06 OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby aHirm thet I am licensetl under provisions ot Chapter 9(commencing wlth Section 7000) ol Divislon 3 of �he Business entl Prolessions Catle, and my license is in full force end eHem. Llc. k, Class N Con�reclors Signature: Dete: CONSTRUCTION LENDING AGENCV: ❑ 1 hereby eHirtn lhet Ihere is a construction lentling egency far ihe pertortnance of the work br which this permit is issued. (Sec. 3097, Civil Code). Lentlefs Nema: Lentlefs Adtlress: SigneWre: Dete: OWNER•BUILDER DECLARATIONS: I hareby aHirm ihet untler penalry of perjury thet I am E%EMP7 FROM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Coda: Any ciry or counry which requires a pertnit to conswci, alter, improve, demolish, or repair eny swcWre, pnor to Its issuance, elso requires !he applicant for such pertnil to tlle e signetl stetement Ihei he or she Is licensetl pursuant to t�e provisions of lhe Conirectors License Lew (Chepter 9(commencing with Sectlon 7000) ot Division 3 of the Busineu entl Professions Catle) or thet he or she is exempt Iherefrom entl the basis tor t�e alleged exemptlon. Any violation of Section 7031.5 by any epplicant tor a pertnit suh�eds the epplicant to e clvll penalry ot not more �han live hundred dWlars ($500).): � I, es owner of tha proparty, or my employaes with wagas es their sole compansa�ion, WILL DO THE WORK, antl the stmcture is not intantlatl or oHered br sale (Sac. 7044, Business end Prolessions Code: The Contractors License Lew does not appry to an owner of properry w�o huilds or improves thereon, and who does such work himself or herselt or Ihrough his or her own employees, provided that such im0�ovemenis ere not intended or oHered for sale. If, however, the building or improvement is soltl wit�in one year oi completion, I�e ownervbuilCer will have �he burden of proving thet he or she did not builtl or improve for puryose ot saleJ. ❑ I, as owner of Ihe properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construd the project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not appty to en owner of property who builds or improves ihereon, end who contracts tor such prolect with a contrector(s) licensa pursuent to the Con�acbrskic�nse L,}Ws.). ❑ I am exe und Signeture: Owner l died by driw Venlication ol Owners�ip Business and Protessions Code for this reason: Date: ❑ Yes ❑ No Driver's License No. ^ Expires: tlocument, i.e. - properry �ax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby cenity that no e:cavatlon iNe (5) or more leet In depth into whlch a parson is requiretl to tlescend will he maae in connection with work authorized by this permlL entl ihat no Duiltling structure, scattoltling, falsework. or tlemolition or tlismentling Nereot, will be more Ihen thlrty-six (38) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Califomia Administretive Code). ❑ As owner-6uiltler, I will not employ enyana to tlo work which woultl requira a pertnit tram the Division of Intlustrial Safery, es notetl ebove, unless such parson has e permlt to tlo such work trom the tlivision. Signeture: Date: DiNslon ol Industnal Safery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORQA710N OF ENTAY: I certity under penalry of perjury �hat I have read Ihis application end state that the information given is correcL I agree to ompty Ith all state laws ntl ci rdinances relating to builtling conswction, and authodze re0�esentatives oi the Ciry of Costa Mesa to enter upon the ebova-tlescdb op , or I ti u ses. ree not m occupy or ellow occupancy of eny builtling authonzed by ihis permit uNil tinal inspection. � 5 /D -dd � i� ture LegalOwner(s) Date And/Or Authorized ApDficent Date COpE 1, INSPECTIONTYPE Qd¢, �$ 1618 Fixetl System Flnal Fira Preventlon 1266 200 201 202 203 Pool Spa Final Final Re-Roof Finel BIocWRetaining Well Finel Fectary Fire Place Flnel Sipn 264 Final DemOlilion 2618-66 L CODE� INSPECTIONTYVE 208 Finel Mechanical 208 Final Plumbing 210 Finel ElectAcal 212 Finel Flra Prevention 220 FinelPlanning Approval 222 Finel Slte 250 Finel BuildingiOccupanty �.1 .IW.. � .� � � � ,. p�a� �sa-s2�s • Fax (��a> �sa-aass CITY OF COSTA MESA • BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT Job nddress: 483 E 20TH ST Suite: Vicinity: FIRST AND SECOND FLOOR ParcelNumber: 42632408 npp�icanc GABRIEL, MICHAEL Address: 483 E 20TH ST COSTA MESA, CA Owner: GABRIEL, MICHAEL Address 483 E 20TH ST PARKER,AZ C.M, CA Contractor: OWN ER-B U I LDE R Address: Zip: BUILDING PERMIT Zoning: �Phone: 949-646-6596 Zip: 92627 Phone: 949-646-6596 Zip: 92627 Phone: License: 0 e 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/15/2000 Issued: 04/26/2000 ISSUED BY: �x�'��sl v � �� PER � _ � la� � nrcn : Er�`�� ABRIEL Address: Atldress: 3620 BIRCH ST Phone: SUITE 250 Phone: 949-267-5083 N.B., CA Zip: License: 92660 License: 52939 SCOPE OF PERMIT CONSTRUCT A 715 SF 2ND STORY ADDITION AND ENLARGE EXISTING LOWER FLOOR BY 205 SF FOR A NEW BEDROOM AND BATHROOM AND ADD A 36 SF BALCONY. Plan Check: $554.94 Permit: $853.75 SMIP Res: $7.93 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,416.62 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Re uired: . 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 879,276.32 So.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is noLcommenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and ell required Inapectiona end flnal approvel must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 C WbRKERS'COMPENSAnON DECLARAnON: I �ereby aHi� untler penalry ot perjury one ol the following tleclarations: � I have andwill meintain a cetliticate at wnsent ro self-Insure for workers' compensation, es provitled tor by SecUon 3700 of the Labor Code, for the peAortnance of the work for wfiich this pertnit is issued. ❑ I hava end will�maintain workers' compensa6on insurance, as required by secUon 3700 of ihe Labor Cotle, for the pertormance of ihe work br which this pertnit is issued. My workers' compe�alion Insurance carrier antl palicy number are: . Carrier: • Policy Number: (This secrion need nat be campletetl i! the permitls velued et one huntlretl tlollars ($100) or less.) ❑ I cetlify ihal In the pedormence of ihe work for which ihis permit is issue0, I shall not employ eny person In eny manner so as to become subject to the warkers' compensation laws of Calitomla, and agree that if I shoultl become subject to Ihe workers' compensation provisions of Section 3700 of the Wbor Coae, I shall forthwith comply with these provisions. Applicant Si9naWre: Dete: WARNING: PAIWRE TO SECURE WORKERS' Q'1MPENSATION COVERAGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THWSAND DOLLARE (5100,000). IN ADDITION TO iME COST OF COMPENSATION, DAMhGES AS PROVIOED FOR IN SEGTIIXJ �]O6 OF THE LABOR CODE, IMEREST, AND AiTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of iha Business and Professions Code, antl my license is in full force antl eHect. Lic. N C�ass R ContractoYs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm that there I5 e construction lending agenry for the peAormence of the work for which this permit is Issuetl. (Sec. 3097, Civll Code). Lentler's Neme: Lentler'S Atldress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby atlirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, Business and Professions Code: Any city or county which requires a pertnit to construct, alter, improve, demolish, or repair eny s�rudure, pria to its issuence, also requires the epplicant for such permit to file e siqnad stetement that he or she is licensed pursuant to the provisions of Iha Contractors License Lew (Chapter 9(commencing wlth Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempt theretmm end Ihe basis lor Ihe allagetl ezemption. Any violation ot Section 7031.5 by any applicant for a permit su jacis the epplicent to a civil penalty of not more than tive huntlretl tlollars (5500).): I, as owner of the properry, or my employees with wages as thair sole crompensation, WILL 00 7HE WORK, entl the siructure is not intended or oflered for sale (Sec. 7044, Business and Protessions Code: The Contrectors Ucense Lew does not apply to an owner of property who builds or improves thereon, entl w�o tloes such work himself or herself or through his or her own employees, providetl that such improvements are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, the owner�builtler will have the burtlen of proving that he or she did not buiid or improve for purpose of sale.). ❑ I, as owner of the property, am ERCLUSIVELV CONTRACTING WITH LICENSED CON7RAC70RS ro construa the pmject (Sec. �044, Business antl Professions Code: Tha contrectors License Lew does not epply to an owner of DroDerty who builds or improves thereon, and who contrects for such prolec� with a contractor(s) license pursuant to ihe Contractors License LawsJ. ❑ I am exemp der s Signature: Owner ID v by tlriver's Verificatian at Ownarship by Business and Professions Cotle for this reason: � i Date: - - ❑ Yes ❑ No Driver's License No. _ Expires: ol document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby cenity Ihat no excavation five (5) or more teet In depih Inro which a person is requlretl to tlescenq will �e matle in connec�ion with work authonzetl by this parmit, and that no building siructure, swHolding, telsework, or demolition or dismamling ihereoL will be more �han t�irty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 347, Title 8, Celifornle Atlminisirative Cade). ❑ As owner�Duiltler, I will not employ enyone to do work which would require e permit Irom the Division ol Industriel Salery, as notetl ebove, unless such person has a permit ro do such work imm Ine division. Signature: Date: Division of Intlustnal Sefety Permit Number. CERTIFICATE OF COMPLIANCE AND AilTHORIZATION OF ENTHV: I certify under penalty of perjury thet I heve read Ihis application end state that the information given is correct 1 egree ro comply with all ste e law erlp ciry ordi ences relating to 6uiltling wnstmction, end euthorize representatives of the Ciry of Costa Mesa to emer upon tha ebove-descnbed r �pe toKiispe � 4. I a � ot to occupy or allow acupancy of eny builtling euthorized by this ertnit until final inspection. � 2�� S gpal Ot Legal Owner(s) Dete / And/Or Authonzed Applicant Date COOE;1, INSPECTIONTYPE 1616 Fixetl System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRatalning Wall 202 203 Final Fac�ory Fire Place Finel Sign Final Demolition �g � INTITIALS �QQ�( INSPECTIONTYPE 206 Final Machanical 208 Finel Plumbing 210 Finel Electncal 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Final Builtling/Occupancy Qy1g IHfIfIpLS To: � NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 �Q City of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: M�.� N A� C��-Z) ��. Address: 4�� 2C7T� .� 1, �(7�� M��'. �'/�' - Telephone Number. l, q'4 R 1 Co �\ Co "— �i� �q b 3341 District Receipt No. Plan Check No. �`�� TracUParcel and Lot Number(s): � �� 2— � �� Location of Project: '4 � � �. Z�) 7"� `T � ('l Cl� �l�i . �'14 • Number of Square Feet of: E} O ResidentialSpace �x$1.84 Total ��2 Commercial and industrial Space Commercial/Industrial Project is: (Check One) Warehouse R&D Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial This project is exempt because x $ .30 Motel _ Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medical Office Office Park Tota I Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school facilily fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdicdon. Checks are to be made payable to Newport-Mesa Unified School District. ANhorized The above representation as to square footage is true. Applicant agrees that if it is later determined that such representatlons are not true, then this certificate shall automatically terminate and the appropriate City/County sh�ll be notified. ��i��G��1 �i��/'� NPk 26 26Ei8/9:43 Aq/f 111�16b Date: � ��'' � kCPT�:01-@F53262 (714)754-5273 • Fax(714)754-4856 .lob Address: 483 E 20TH ST Suite No Vicinity: Parcel Nunmber: ,- CITY OF COSTA MESA � _. BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT 1 ST 8 2ND STORY ADDITION 42632408 App�icant: GABRIEL, MICHAEL Address: 483 E 20TH ST COSTA MESA, CA Owner: GABRIEL, MICHAEL Address 483 E 20TH ST COSTA MESA, CA Contrecior: O WN E R-B U I L D E R Address: ELECTRICAL PERMIT Phone: (949)646-6596 Zip: 92627 Phone: (949) 646-6596 Zip: 92627 Phone: Zip: License: 0 P�RMIT NUMBER JE00-00436 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: OS/t012000 Issued: OS/70l2000 SCOPE OF PERMIT ELECTRICAL PERMIT FOR ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 25 LIGHT FIXTURES, 20 OUTLETS, 70 SWITCHES, & UPGRADE ELECTRICAL SERVICE TO 200 AMP. REF: B00-00325 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept OuUets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 7000a Motors to 1 hp Motors ro 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a � Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 523.50 $0.00 50.00 50.00 50.00 $0.00 $23.65 522.00 $11.00 50.00 50.00 530.50 50.00 50.00 so.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Quantity 0 0 0 25 20 10 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /7 0o ft Standing Section Misc Electrical Equipment Transformers up to 1 kvalkw ................up to 10 kva/kw .................up to 50 kva/kw .................uP to 700 kva/kw ..................over 700 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee P�an Check Fee Reinspection Fee 50.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 50.00 50.00 TOTAL CALCULATED FEES 5110.65 COMMENTS / SPECIAL CONDITIONS �uantiry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is noDcommenced within 180 days, or if work is suspended or abendoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlone and tinal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARATON: - I hereby attirm under penalry ol perjury ona oi tha tollowing decleretions: ❑ I have and wlll malntain e certillcate of consent to selt�lnsure for workers' compensetlon, as pmvide0 for by saction 3700 of Ihe Wbor Code, for the pedormance of the work for whlCh this'perml� is Issuetl. � I have and will main�ein workers' compensetion insurence, as required by seaion 3700 ot the Lebor Cotle, for the pedormance of Ne woB br which this permit is issuetl. My warkers' compen�9tian Insurance carrier end polity number ere: . Certier. Policy Number: (This sectlon need nof be comp/eted I! tbe perml( ls ve/uetl af one huntlretl dollers ($f 00) or less.) ❑ I cenify t�at In the peAortnance of the work for w�ich Ihis permit Is issued, I shall not employ eny parson In eny manner so es to become subject to ihe workers' compensation laws of Califomia, end egree thet If I shoultl Decome sub�oct to the workers' compensetion provislons ot Section 3700 of Ihe Labor Coda, I shall forihwith camply with �hese provisions. Applicant SlgnaNre: Date: WARNING: FAILURE TO SECURE WORKERS' WMPENSATION COVERAOE IS UNUWFUL AND SHALL SUB�ECf Ml EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUN�RED THOUSAND DOLLARE (S10D,WJ), IN ADOfT10N TO THE COST OF CdAPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F TME LABOR CODE, IMEREST, AND AiTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn that I am licensed under provislons ol Chap�er 9(commenUng with Sectlon 7000) ol Division 3 of the Business antl Pmfessions Cotle, entl my license is In full forca antl eflecL Lic.» Class p Contractors Signewre: Date: CONSTRUCTION IENDING AGENCY: ❑ I hereby eHirm thel there is e construction lentling agenry br Iha peAormence ol the work br which this permit is issuetl. (Sec. 30W, Civll Cotle). Lentler's Neme: Lenders Address: Signature: Date: OWNER-BUILDER OECLARATIONS: I hereby aHirm that under penalry of perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW lor Ihe lollowing reason (Sec. 7037.5, 8usiness end Professions Cotle: Any ciry or wunry which requires a permi� to consWci, alter, improve, demWish, or repeir eny siruciure, prior m Its luuance, also requires lhe applicant for such permli lo tile a signad statement t�at he or she is licensetl pureuent lo t�e provislons of Ihe Comrectars Llcensa Law (C�epter 9(commencing with Sectian 7000) oi Division 3 oi Ihe Business and Pwfessians Catle) or thai he or s�e Is exempt therefram entl t�e besis tor t�e alleged exemption. Any viWetion of Sectlon 7031.5 by any epplicant tor a permit su �acts the applicant to e clNl penalry ol not more then live hundred tldlers (5500).): I, as owner of Ihe property, or my employees with weges es t�eir sole campensation, WILL DO TME WORK, end Ihe structura is not intentled or offered for sale (Sec. 7044, Busineu anU Profe55ion5 Cotle: Tlie ContraIXore License Lew does nol eppty �o an owner ot property who builQs or improves thereon, and who does such work �imsetl or hereelt or t�rough his or her owA employees, proNdetl �hat suU improvemen�s ere noI Intended or oflered for sala. If, however, the builtling or impmvement is sold within ona year of completion, Ihe owner-builder will have the burden of proving that he or she tlitl not build or improve for purpose ot sale.). ❑ I, as owner of the pmperry, am EXCLUSIVELV CONTAACTING WRH LICENSED CONTRAC70RS to construct ihe prol�� (Sec. 7044, Business antl Professions Code: The contractors License Law does not aOPry to en owner of property who builds or improves iheraon, and who coniracts for such project with a contrecior(s) license oursuam to Ihe Comrectors liCense Lews.). ❑ 1 am exem de Signature: Owner ID ed y tlnvers Venfication of Ownership by �� Business and Prolessions Code for this reason: � _ _ / ¢'�'�� Expires: ot tlocument, i.e. - property �ax blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenlly thet no excavetlon tive (5) or more leet in depth Inta which a person Is reQuired to descenq will 6e matle in connectlon with work authonzed by this permlt, antl ihat no building structure, scaHolding, fal5ework, or demolition or dismantling Ihereol, will be more Ihan thirty-six (36) feet high. (G�ap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Californla Atlministretive Code). ❑ As ownerDullder, I wlll not employ anyone to tlo woAc wNch woultl requlm a permit trom �he Division of Intlusirial Sefery, es noted aDove, unless such person hes a permll ta do such wark from the division. Signature: Date: Division of Industrial Sefery Permit Number: CERTIFlCATE OF COMPLJANCE AND AUTHORIZATON OF ENTAV: I ceRify untler penalry ol perjury that I have reatl this application and state that Na informatlon given is correct. I agree to c ply wiN all stau ws end d orUinances relating to building constructlon, enA aut�onze representatives of Ihe Ciry of Costa Mesa to enter upon the flbove-C etl erty p tl gree not to occupy or allow occupanry ol any building euthorizea by this pertnit until tinal inspection. / S //� - � natur I Lepel Owner(s) ate And/Or Au�honzetl AppliCent Date CODE �. INSPECTIONTYPE Qd¢ �LS 1616 Flxetl System Final Flre Preventlon 7266 200 201 202 203 Pool Spe Final Final Re-Roof Final Block/Retaining Well Final Fectary Fire Place Finel Sign 204 Final Demoli�ion zaae�ae COOE I INSPECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electdcel 212 Final Fire Prevention 220 Final Planning Appraval 222 Final Site 250 Final Building/Occupancy � � It�ELi (714) 754-5273 • Fau (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 483 E 20TH ST Sui[e No Vicinity: Parcel Number: 42632408 Applicant: GABRIEL, MICHAEL R Address: 483 E 20TH ST � COSTA MESA, CA Owner: GABR�EL, MICHAEL R Address: 483 E 20TH ST Contractor: Address: r'i`, COSTA MESA, CA MECHANICAL PERMIT Phone: 949-646-6596 Zip: 92627-2315 Phone: 949-646-6596 Zip: 92627-2315 Status: ISSUED Applied: OS/14/2002 Issued: OS/14/2002 ISSUED BY: " EX1'E1�1SI�?I� OWNER-BUILDER �XPIRES� Phone: Zip: License: 0 SCOPE OF PERMIT 670 SF ONE AND TWO STORY STUDIO ADDITION TO AN EXISTING DETACHED GARAGE. RELOCATE EXISTING BATHROOM IN THE GARAGE. REF: ZA-Ot-71 REF: B02-00488 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Re(rig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 70000cfm Floor Furnace Floor or Suspend Heater $23.50 $74.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $7.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0. 1 0 0 0 0 0 0 0 0 FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I n cinerator Domestic Incinerator Compressors / Absorption Svstems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / �,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee - Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPEC�AL CONDITIONS Quantiry 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $45.55 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become voitl If work Is not commenced within 180 days, or if work is suspended or abandoned for a pe�iod of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final approval must be obtained. Fallure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545628 zaaae �aroo� WORKERS'COMPENSAnON DECLARAnON: � I here6y eflirtn undar penalry ol perjury one ol the tollowing dedaretions: ❑ I have entl will maintain a cenificate of wnsent to seli-Insura tor workers' compensation, as pmvided for by section 3700 0l tha Lebor Code, for the peAormence of the work tor which �his permi� is Issued. ❑ I have and will maintain workers' compensetion insumnce, as required by seclion 3700 of Ihe Labor Code, for Ihe pertortnance ol Iha work lor wNch Ihis pertnit is issued. My workers' compensalion Insurance caMer and poliq number are: Cerrier: Polity Number: (This section need nol be complered i! 1he perm1115 valued e( me Aundred dallers (S 100) or less.) �7 I certiy that in t�e pertormance ol t�e work lar whicti this permit is IssueU, 1 shall not employ flny person in eny mannar so es to become subject to the workers' compenselion laws of CeOf mia, en egr thet I I houl me sublect to the workers' compensellon pmvislons ot SeCllon 3700 ot the Lebot Cotle, I 5hell IOMwIN comply wit� t�ese prov s. �/ Appl��ce�rt'SlgpeWre �l� / Dete�s .GJ '-�Y' � UZ WAA IN Na: FAILORE TO FE wORKERS' MPj SATION GVVERAGE IS UNLAwFUL AN� SHALL SUBIECT AN EMPLO� O CRIMINAL PENALTIES aND GVIL FlNES UP TO ONE HUNORED TIqUSAND OOLURE (5100,000), IN qDDfiION TOITiE CQST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOii IN SECTION 3�O60F THE LABOR CODE, INTEREST, AND FTTORNEI^5 FEES. LICENSED CONTRACTORS DECLARATON: I hereby ettirm that I em Iicensed under pmWsions ol Chapter 9(commencing with Seciion 7000) ot Dlvlslon 3 0l the Business and Prolesslons Cade, antl my Ilcense is in full force end ettect. Lic. a Cless a Contractors Signature: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereDy ettirm thet there is a constructian Ientling egency tor the peAortnence a/ the work for which this permit is issued. (Sac. 3097, Civll Cotle). Lendels Neme: Lenders Atldress: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihat under panalry ol perjury Ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for iha following reesan (Sec. 7031.5, Busineu and Pratessions Code: Any ciry or wunry which requires a permit to construci, elter, improve, tlemolish, or repair any strucWre, pnor to Its Issuance, also requires the applicant for such Dertnit to tile a signetl statement that he or s�e Is Iicensetl pursueni b the provisions of Ihe Contractore License Lew (Chapter 9(commenUng with Section 7000) of D'Msion 3 of t�e Business antl Professions Code) ar thel he ar she is exempt therefrom and ihe basis for ihe alleged eremptian. Any violation oi Sectlon 7031.5 by eny applicent for a pertnit subjects the applicant to a civil penalry of not more than tive hunCretl dollars ($500).): ❑ I, as owner of Iha properry, or my employees wl�h weges as iheir sole compensation, WILL DO TME WORK, and Ihe siructure is not intentletl or oHaretl for sale (Sec. 7044, Business antl Profeuions Cotle: iTe Contractore License Lew tloos not apply to an owner of property who builds or improves thereon, antl who does such work himsatt or herself or Ihrough his or her own employees, pmvideC t�at such improvements are not intended or oflered for sale. II, however, the builCing or imprwement is sold within one year ol completioq the ownarv6uiltler will have the burden ot pmving that he or she did not build or improve tor purpose of sele.). ❑ I, es owner ol Ihe properry. am E%CLUSIVELY LONTRACTING WITH LICENSED CONTRACTORS to cons�mct the OrojeCt (Sec. 7044, Business antl Professions Code: The cnntractors License Lew does not eppty to an owner of pro0erry who builds or Improves Ihareon, antl who contrects tor such pmject with a conirector(5) license pursuant to Iha Contractors License Lews.). `D�bam exem t tler s. Business and Professions Code for Ihis reason: �s"gmamre:• � � �,�V - z^ 0� VedTication ot Ownership by (type ol Coc en i.e. - pmperty tex bill ar deed): DIVISION OF IN�USTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby cenify that no excavetian five (5) or more laet in depth into which e person is required to descend, will be mada in connec�ion with work aut�orizetl by �his pertnit, and that no building siructure, swHoltling, lalsework, or Cemolition or tlismantling �hereot, will be more then �hirry-six (38) feet high. (Chep. 3.2. Grp 2, Art 2, Sec. 341, Tltle B, Calilomla AtlminiSlratNe Cotle). ❑ As awner-builder, I will not employ anyone to tlo work whic� woultl require a pertnil Iwm tha Division ol Intlustrial Setety, es notatl ebove, unlou such person has e pertnit to tlo such woAc Irom the division. Signamre: Date: Divisian of Industrial Safery Permit Number: CEH7IFlCATE OF COMPLIANCE AND AUTHOROAiION OF ENTAV: I certify under Denalry of perjury that I have reatl ihis epplicalion end 5tate thet �he Informa�ion gNen is correcL I agrae to compy wlth ell stete laws end dry ortlinences relating to builtling cnnsiruction, and au�honze represemelives of the Clry ol CaSte Mesa to enter upon the above-descnbetl qr�� for' pecti pu e e een to occupy or ellow accupancy af eny building authonzed by this permit un�� I insD��ian. /.G� f'!"" _ rJZ �S •s1�Owne�(9)7 �Date And/Or AuModzed Applicent Date ^ 40oE �. INSPECTIONTYPE 1fi16 Fi:ed System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Rool 201 Finel BIocWRetelninp Well 202 Final Factory Fire Place 203 Final Sign 206 Final Demoli�ion . Q� ��^ COpE1 INSPECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Elecincal 212 Finel Fire Preventlon 220 Final Planning ApOroval 222 250 Finel Site Final Building/Occupancy .!i '•' �� (714) 754-5273 • Fa�c (774) 7543856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 lob Address: 483 E 20TH ST Suite No Vicinity: Parcel Nunmber: 42632408 Applicant: GABRIEL, MICHAEL R Address: 483 E 20TH ST COSTA MESA, CA Owner: GABRIEL, MICHAEL R Address 483 E 20TH ST COSTA MESA, CA Contractor. Address: Arch / Eng : Address: PLUMBING PERMIT PhOne: 949-646-6596 Zip: 92627-2315 Phone: 949-646-659 Zip: 92627-2315 Phone: Zip: License: Phone: Zip: License: Status: ISSUED Applied: 06/07/2002 Issued: O6/07/2002 ISSUED BY: E-xTE1�,SjpN AI'L� ED 6 PER EXPIRES �� SCOPE OF PERMIT 1 SHOWER, 1 WASH BASIN , 1 TOILET. AND 1 GAS OUTLET, 1 HOSE BIBB.. REF 602-00488. ISSUE FEE BackFlow irngation BackFlow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Dnnking Fountain Expansion Tank Gas Earthquake Valve Gas (1-0 outleLs) Gas(Over4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 56.15 $0.00 $0.00 $0.00 $0.00 $0.00 QTv 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irtigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $0.00 Receplors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Pnvate Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kilchen $0.00 Sink, service/mop $0.00 Spa (pnvate) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 50.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 50.00 50.00 $0.00 TOTAL CALCULATED FEES: E68.85 Qrv 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if wo�k is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all required Inapections and final approvel must be obtalned. Fallure to obtain inspections and final approval will result in the expiration of ihis pertnit. FOR INSPECTIONS CALL: (774) 7545626 . zaae-ae �aiao� WORKERS'COMPENSqnON DECLARAnON: � I hereby aXirm under penalry oi perjury one of Iha following declarations: ❑ I have end will mein�ain e certificate of consent to selt-Insure for workers' compensa�ion, as provided for by section 3700 of the La6or Code, for lhe pertarmance ot the work tor which this pertnit is issued. . ❑ I have end will maintain workers' cnmpensetion insurance, as requiretl Dy sec[ion 3700 ot the Labor Code, lor the pedormance of the work for which Ihis permit is issued. My workero' compensation Insuranca carrler antl polity number ere: . Carrier: Policy Number. (Thls section need not b� comp/etetl il (he permit is valued et one hundred dollers ($100) or less.) � ❑ I certiy that in the peAortnance oi the work tor which (his permit is issued, I shall not employ eny person in any manner so as to become sublect to lhe workers' compensatlon laws a� Calilomla, and agrea �hat Ii I shoulA become sub�ect to the workers' compensetion provislons ol Sectlon 3700 oi Ihe Lebor Code, I shall torthwiih Comply with these prOvi5ion5. Applicant Signature: Dete: WARNINO: FAILURE TO SEC,�JRE WORKERS' COMPENSATION COVERAGE I$ UMAWFUL lWD SHALL SUBJECT AN EMPLOVER TO CRIMINA� PENALTIES PND GVIL FINES UP TOONE HUNDRED TNOUSAND DOILARE (5100,pppJ, IN ADDITION TO THE COST OF Cq.1PENSATION, �MMGES AS PROVIOED WF IN SECTION 3]OB OF THE LABOF COOE, IMEREST, AND ATTORNE`f5 FEES. LICENSED CON7RACTORS DECLARATION: I hereby eHirtn that I em licensed under pmNsions of Chapter 9(commencing wiN Section 7000) of Dlvislon 3 oi Ihe Business entl Professians Cade, end my license is in full lorce entl eNect. Lic. a Cless a Conbadofs Signature: Date: CONSTRUC710N LEN�ING AGENCY: ' ❑ I hereby eHirtn Ihat there is a consiruclion lending egency lor the pertormance of Ihe work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aRirm thet unde� penalry of perjury thet I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (SecJ031.5, 8usiness entl Profeulons Coda: Any ciry or counry which requires a pertnit lo construc6 elter, improve, demolish, or repair eny slructure, pnor to Its issuance, also requires the applicant tor such permit to flle e signed statement that �e or she is licensed pursuam ro the provisions of the Contracbrs License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 of the Business and Professions Code) or thet he or she is e:empt therefrom end tha besis for the allegetl ezemption. Any vlWatlon of Section 7037.5 by flny epplicant for e pertnit subjecis ihe eppllcant to e civil penalry of not more than fiva hundred dollers ($500).): � I, as owner of ihe property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and the sWcture Is not intentled or oMered for sale (Sec. 7044, Business antl Pmtessions Code: The Contractors License Lew does not apply ro an owner of property who builds or improves Ihereon, and who does such work himself or herself or through his or �er own employees, provided that such impmvements ere not intended or oHered br sale, If, however, the building or improvement is sold within one year oi completion, the owner-�uilder will have ihe burden ot pmving that ha or she did not buiid or improve tor purpose of sale.). � �.as� nar � �,erry, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmd tha project (SecJ044, Business antl Protessions eqors License Law tloes not apply to an owner of property who builds or improvas iheraon, antl who contracis tor such project wit� a contractor(s) license pursuant to the Contraaors License Laws.). �wner ID vaF�6d by tlnvers Verificetion of Ownership by Business and Pmfessions Coda tor this reason: ❑ NO ot tlocumem, i.e.�pmperty tea bill ar DIVISION OF INDUSTP�p� SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excevetlon five (5) or more feei in depih into which e person Is requlred to descend, will be matle In connecilon with work autharizetl by this permit, and Ihat no builtling strucWre, scaHolding, falsework, or demolition or dismentling ihereof, will be more then t�iny-six (36) taet high. (Chep. 32, Grp 2, Atl 2, Sac. 341, TIIIe 8, Celifornia Adminisiralive Cotle). ❑ As owner-bullder, I will not employ anyona to do work which wouid require e permit irom the Division of Industriel Sefety, es noted ebove, unless such person hes e permit to do such Work tmm the division. SignaWre: ' Deie: Division oi Industrial Seipy Permil Number. CERTIFlCATE OF COMGLJqNCE AND AIfTT10RIZATION OF ENTRV: I cenity under penelty ot perjury Ihai I have read Ihis application and state Iha� the information given is correct. I egree to comply wl�h ell stete laws and ciry ordinances relaiing ro building consiruction, an0 amhonze representatives ot ihe Ciry of Costa Mese to enter upon the ebove-descnbetl pmperty for inspettion purposes. I agree not fo occupy or allow occupancy of eny building authorized by this permit until final inspection. Si � at re OI Legal Owner s a e AnNOr Authorized Applicant Date FOOE 1. IXSVECTIONTYVE �61fi Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Root 201 Final Black/Relaining Well 202 Final Fectory Fire Placa 203 Finel Sign 204 Finel Demolition QL'jg �NTffIALS CO�E� INSVECTIONTYPE 206 20B Q� Finel Mechanicel � Final Plumbing J 210 Final Elecirical 212 Finel Flre Preventlon 220 Final Planning Approval 222 FinalSite 250 FinalBuilding/Occupency March 21 , 2002 CITY OF COSTA MESA cwrowau ezezai2ao DEVELOPMENT SERVICES DEPAfiTL1EM Mia Tavonatti & Michael Gabriei 483 East 20'" Street Costa Mesa, CA 92627 - RE: MINOR DESIGN REVIEW ZA-01-71 483 EAST 20T" STREET, COSTA MESA Dear Mia and Michael: P.O. BOX 1200 Review of the minor design review for the above-referenced completed: The application has been approved, based on the description and findings, subject to the conditions set forth below: PROJECT DESCRIPTION project has been following project The applicant proposes to expand their existing, one-story detached garage by adding area to the rear of the garage as well as a new second floor. The addition will be used as an artist's studio. As part of the construction, the existing bathroom inside the garage, consisting of a sink, toilet and shower, will be relocated to access from the new studio. This allows the garage to satisfy the required 20-foot by 20-foot clear interior dimension required by Code. To ensure the building is not converted into a separate unit sometime in the future, a land use restriction will be required to be recorded against the property. Exterior elevations will consist of stucco, with the garage roof to match the composition shingle of the house. The studio roof will be rnetal. Although the plans show the roof as corrugated metal, the applicant has agreed to a standing seam metal roof instead. The two roofing materials helps define the difference between the garage and the artist's studio and is in response to the applicant's desire to provide a more eclectic appearance to the building. Windows are designed to avoid impacts o� neighbors. On the rear of right side elevations, the windows are placed high in the wall or are of obscure glass. Windows on the other elevations are of sufficient distance from adjoining properties so ihey wiil not impact privacy. The building is at the back of the site, away from the street and is partially screened by the applicant's residence. Elevation materiais Tl FAIR DRIVE � BuilAMg Oivision (711) 7545273 • COOe EMorcement (714) 754-5623 • %arining 0ivi5i0n (71 �) 751-5215 FAX (711) 754�4856 • TDDl714) 754-5244 . ZA-0 7 -71 March 21, 2002 Page 2 � have been selected to be compatible with the neighbor as well as to make a statement regarding the artist studio use of the building. All applicable development standards and review criteria will be satisfied. FINDINGS A. The information presented substantially complies with Costa Mesa Municipal Code section 13-291g1114) in that the proposed garage/studio is substantially compatible and harmonious with existing and/or anticipated developmenr on surrounding properties. This includes site planning, landscaping, appearance, scale of structures, location of .windows, and any other applicable features relative to a compatible and attractive development. Specifically, privacy of adjoining neighbors will not be impacted due to window placement and design. The building is at the back of the site, away from the street and is partially screened by the applicant's residence. Elevation materials have been selected to be compatible with the neighbor as well as to make a statement regarding the artist studio use of the building. All applicable development standards and review criteria will be satisfied. B. The proposed project complies with Costa Mesa Municipal Code Section 13-29 (e)because: a. The proposed development and use is compatible and harmonious with uses both on-site as well as those on surrounding properties. b. Safety and compatibility of the design of. the buildings, parking areas, landscaping, luminaries, and other site features including functional aspects of the site development such as automobile and pedestrian circulation have been considered. c. The proposed project complies with applicable performance standards prescribed in the Zoning Code. d. The project is consistent with the General Plan. e. The planning application is for a project-specific case and does not establish a precedent for future development. f. The cumulative effects of all past and present planning applications have been considered for both the subject property and surrounding properties. C. The project has been reviewed for compliance with the California Environmental Quality Act (CEQA�, the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. F. The project is exempt from Chapter XII,� Article 3, Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. •za-o � -� i March 21, 2002 Page 3 CONDITIONS OF APPROVAL Ping. 1 2 3. 4. Eng. 5. � The metal roof portion of the structure will be a standing seam design instead of the corrugated metal indicated on the plans. A land use restriction executed by and between the applicant and the City of Costa Mesa, to ensure the garage/studio is not converted into a separate dwelling unit, shall be recorded prior to the issuance of building permits. Applicant shall submit to the Planning Division a copy of the legal description for the property, and either a lot book report or current title report identifying the current legal property owner so that the document may be prepared. The conditions of approval and ordinance or code provisions of Minor Design Review ZA-01-71 shall be blueprinted on the face of the site plan. The applicant shall contaci the Planning Division to arrange a Planning inspection of the site prior to final inspections. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and promptly remove any spiliage from the public right-of- way by sweeping or sprinkling. CODE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1 �� 3 � 5. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections, final occupancy and utility releases will not be granted until all such licenses have been obtained. Approval of the minor design review is valid for one (1) year and will expire at the end of that period unless building permits are obtained and construction commences, or the applicant applies for and is granted an extension of time. All new on-site utility services shall be installed underground or provisions made for future undergrounding, if it is impractical at this time. installation of any new utility meters shall be performed in a manner so as to obscure the installation from view from any place on or off the property. The installation shall be in a manner acceptable to the public utility and shall be in the form of a vault, wall cabinet, or wall box under the direction of the Planning Division. Existing mature trees shall be retained wherever possible. Should it be necessary to remove existing trees, tl-�e applicant shall submit a written za-o,-7, - ' � March 21, 2002 Page 4 request and justification to the Planning Division. A report from a California licensed arborist may be required as part of the justification. Replacement trees shall be of a size consistent with trees to be removed and may be required on a 1:1 basis. This condition shall be completed under the direction of ihe Planni�g Division. Eng. 6. At the time of development submit for approval an off-site plan to the Engineering Division that shows sewer, water, existing parkway improvements and the limits of work on the site prepared by a civil engineer or architect. Construction access approval must be obtained prior to building or engineering permits being issued by the City of Costa Mesa. Pay offsite plan check tee to the Engineering Division. An approved offsite plan and fee shall be required prior to engineering/utility permits being issued by the City. 7. A construction access permit and deposit of 5350.00 for street sweeping wiil be required by the Engineering Division prior to the start of any on- or off-site work. 8. Applicant is informed that 20`" Street is under a"no open cut" moratorium until February 21, 2003. Open cutting of the street pavement will only be approved by the City Engineer with special resurfacing requirements. Bidg. 9. Comply with the requirements of the Uniform Building Code as to design and construction. SPECIAL DISTRICT REQUIREMENTS The requirement of the following special district(s) are/is hereby forwarded to the applicant: Sani. 1. Developer shall contact the Costa Mesa Sanitary District at (949) 631- 1731 for current district requirements. School 2. Pay applicable Newport Mesa Unified School District fees to the Building Division prior to issuance of building permits. CDFA 3. Installation of all utility meters shall be performed in a manner so as to obscure the installation from view from any place on or off the property. The installation shall be in a manner acceptable to the public utility and shail be in the form of a vault, wall cabinet, or wall box under the direction of the Planning Division. Upon receipt of this letter, your project has been approved, subject to the above- listed conditions. A copy of the conceptually-approved plans are enclosed. The decision will become final at 5 p.m. on March 28, 2002, unless appealed by an affected party or by a member of the Planning Commission or City Council. za-o � -� i _ ' � March 21, 2002 Paga 5 If you have any questions regarding this letter, please feel free to contact the project planner, Willa Bouwens-Killeen, at 714-754-5153, between 8 a.m. and 12 noon. Sincerely, �I � � PERRY L: VALANTINE Zoning Administrator _. . Enclosure: Conceptually-approved plans cc: Engineering Fire Protection Analyst Water District Building Division • CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PE I� �� ✓ P98-00763 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lob Address: 483 E 20TH ST Suite No Vicinity: Parcel Nunmber: 42632408 Applicant: BOOTHE, DARLE Address: PLUMBING PERMIT Phone: Zip: Owner. LOUIS, JOHN A TR Address 33898 SMOKETREE LANE PARKER,AZ . Phone: � UNIT43 Zip: 85344 Contrector: AMERICAN HOME PLUMBING Address: 125 WILHELMINA ST � � Phone: 714-778-1307 ANA. CA., � , � _ Zip: 92805 License: 589520 ArchlEng: Address: ISSUE FEE BackFlow irrigation 8ackflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (i-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service GAS REPIPE . AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Phone: Zip: License: SCOPE OF PERMIT - i , PEE SUMMARY � � AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 R) $0.00 Receptors $0.00 Septic Tank . $0.00 SewerCapforDemo '$0.00 Sewer Connecl _ . $0.00 Sewer Private line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen . $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 10/OS/1998 Issued: 10/O5/1998 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin " Wash Basin Set Waste and Vent System Water Closet (foilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0' 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetiona a�d final approval must ba obtained. Failure to obtain inspections and tinal approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hareby aHirm under penelty oi perjury one oi the following tlecleretions: ❑ I heve entl will maintain e cenificate ot consem ro selt-Insure tor workers' compensation, es provitled tor by section 3700 of Ihe Lebor Code, far the pertortnence oi ihe work for whiCh ihis permit 15 issued. � I have and will maintein workers' cwnpensatlon insurance, es reQuired by section 3700 of ihe Labor Code, for the peAormance of Ihe work tor which this pertnit is issueC. My workers' compensation Insurence certier end policy number are: Carrier: Policy Number: (This sectian need nof be wm0�efed i! the permif is veluetl et one huntlretl do0ars ($100) or less.) ❑ I certity Ihet in t�e peAortnance ot the work for which this pertnit is issuetl, I shall not employ any person In eny manner so as to become subject to the workers' compensation laws ot Califomia, and egree that If I should 6ecome sub�ect m the workers' compensatlon proWsions ot Sectlon 3700 of t�e Lebor Cotle, I shall fonhwith comply with these provislons. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFIIL AND SHAIi SUBIECT AN EMPLOYER i0 CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED hKK1SAND DOILAflE (5100.000), IN A�DIiION TO THE WST OF COMPENSATIIXJ, DAMhGES AS Pf10VIDED FOR IN SECTION 3]W OF THE IABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn thet I am licensed unEer provisions af Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle, entl my license is In full force and eHect. Lic. # Class a Contreclof5 SigneNre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aNirm that �here is e construction lending agency tor the pedortnance ot Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: Lentlers Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: 1 hereby attirm that under penelty oF perjury thet I em EXEMPT FROM THE CONTRACTORS LILENSE LAW for Ihe following reason (Sec. 7031.5, Buslness end Prafessions Cotle: Any ciry or county which requires a permit to consimct, alter, Improve, demolish, oi repair any simcNre, prior to its issuance, elso requlres Iha epplicant tor such permit to file e signed stetement that he or she Is Ilcensetl pursuem ro the provisions of the Contrectors IJcensa Lew (Chapter 9(wmmencing wlth Sectlon 7000) ol Dlvislon 3 ot the 8usiness antl Professions Code) or Ihet he or she is exempt Iherefrom end ihe basis for the alleged axemption. Any violation oi Section 7031.5 6y any epplicant for e pertnit subjec�s the epplicent to a civil penelty of not more ihen tive hundred dollers ($500).): ❑ I, as owner ot the property, or my employees wlih wages es Iheir sole compensation, WILL DO TME WORK, and the structure is not intentle0 or ottered for sale (Sec. 7044, Business and Protessions Code: The Contractore License Law tloes not epply to an owner of property who builds or improves thereon, end who does suc� work himself or herself or through his or her own amployees, proNded Ihat such improvemenis ere not Intanded or otfered far sale. If, however, Ihe hullGing or Improvement Is sold wit�in ona year ol compleli0n, the owner-Duiltler will have the 6urtlen of proving that he or she did nol build or improve lar purpose of sale.). ❑ I, as owner of the propetly, em EXCWSIVELY CONTRACTING WITH LIGENSED CONTRACTORS lo conSWct lhe project (Sac. 7044, Business end Professions Cade: The conirectors License Law tloes not epply to en owner of proparty w�o bulltls or improves thereon, end who contracts tw such pwject with e cantractor(s) license pursuent to the Conirectors Llcense Laws.). ❑ I am axempt under sec. Business antl Professions Cotle tor ihis reason: Signature: Date: Owner ID verified by dnvers license. ❑ Yes ❑,No Drivefs License Na. Verification of Ownership by (rype ot document, I.e. - properry te: bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIPICA710N: ❑ I hereby ceniy that no excavation five (5) or more teet in depth into which e person is required to tlescenQ will be matle in connectlon wlih work euthodzed by ihis pertnit, entl ihet no builtling siructure, scettolding, lalsework, or demolition or dismantling Ihereof, will be more then thirty-six (36) feet hlgh. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califomle Atlministretive Catle). ❑ As owner-builtler, I will nol employ enyone to do work which would requlre a permit trom the Division ot Indusiriel Sefery, as noted ebove, unless such person has e pertnit to do such wark from Ihe division. Signeture: Date: Division of Industnel Safety Permil Number: CERTIFlCATE OF COMPUANCE AND AUTHORRA710N OF ENTTiY: I certify undar penalry of perjury that I have reed this epplicetion antl state �hat the iniortnation given is cortect. I egree to compy with sll slete laws end dry ordlnences releting to building consiruction, entl euthonze representa�lves oi Ihe Ciry of Coste Mesa to enier upon Ihe above-described properry tor inspection purposes. I egree not to occupy or ellow occupancy of any building authonzed by ihis pertnit until final inspeclion. Signeture Of Legel Owner(s) AnNOr Authorized Applican� LOOE �. INSPECTIONtYPE 1616 Fixetl System Finel Fire Prevention 7266 Pool Spa Final 200 Final Re-Root 201 Finel BIocWRetelning Well 202 203 204 zana-os Finel Factory Fira Place Final Sign Finel Demolition � I�� LOOEt INSVECTIONTYVE 206 Finel Mec�enicel 208 Finel Plumbing 210 Flnal Elecirical 212 Flnel Fire Prevention 220 Finel Plenning Approval 222 Final Site 250 Final Building/Occupency UAiE II�LElB _V eoonrss'Y+em�wo: LOUIS, LJOHNnA,TR wmursxu/e'Raaem:33898 SMOKETREE LANE �' ��ONIT 43 PARKER.AZ 85344 �. Wma+a wo�ss: UNT: urcxrtEtt on �r+mi�nn: uc. ra_ urcx ox Era.�s �oox�ss: uxr: ��T�� J B CONSTRUCTION (714)778-4261 cwm�crorn�uiwo $8z 5 ANAHEIM HL ��, ANAN CA �,�, 661319 92805 u� LICENSED COMP�CTOPS DECL�F�TION: I ha�eby alfrm wder pe�Wy d perjury OW I am liunved under pwison� d Ghepa 9 (mmmmdM �n� Seclbn )000) d Div'nion 3 d Ure Budron Pmhse"vm Code. eM m ficense o in htl lacs and eMed. c uc. No.: uc. cuss: B uc. No.: 6 613 � 9 EXP : io . � �� 0 NE ILUEP DECL�NRTION: I Mmby elfi�m ndar panaly G ury Ihet I em eaemq Imm IM Comra n lioeroe law la the � reaeon (�ion ]O�t.S &niwea end Pml»uone COEe: AnY cMY a counry xfiiM n0uii» e permG to omeM1un. ellx, unprove. demoloh, w repeir eny a��ucture, pior lo Xa ewer�ce, Wo reQuiree �he applirant lor wch peimX b fJe e epiwd eblamenl thal M or eha �,�icenaed w+nuem m �ne wwl.ian. d �ne camreaon uceme �aw �cheNer s(oommendno wan seaon'laao) d oiv:bn 9 d �he uimn eM Prdwioru COEeI a Ihel M a ahe'v uemq thaehwn erd ihe bavs fa Ihe ellped ssemqion. My volmun d Seaun ,pt.5 by vry epplirenl la a perme �ubpe� IM eppliceM b e dW panelly d na maa tlan Rua liurdrod Edbn �SSOOp. ❑ I.mowirorMlheqopeMormyempbyeeswt�wepesavlMieoboompanePoion,wiAdoNsx'otk,eMNe�IrucYunurwliMeMed w ollared la seb (Seciion ]000, Butirev eM Pmlesaona Code: ThaConlradae Licenae lew doea ml apply�oen ownard properry wM WiEe a inqwm Ihe�eon. vd who Aaee auM wak Fimmll a henN or Mraph he ar her am empbyee�. qwked ihtl ach impwromdtla ms nd inteMeU a d1e�eE la eab. tl. Mwe.er, lte buikinp a inpawnera u wid Milhin ons Yw d canpblion. Ihe owrorbuilder xi0 heva the buNen d pwi�p M a tln d'd rio� ddd rc impws la �M pu�pme d ulol. ❑ i.., o»n« a m. ww«�v..�,..�r �u�e�o wnn eo.�,ee �,a.�a�. m oo�mw m. n�d� (see�, �ow. e�.m.. w Pmlmdms coee�. T1w CoMream l'cmx Lew Eoea iw1 eDWY ro en ovmx a V�Wa�Y w1w WiWo « impwa Iheimn end who camrecla lar arh W9�� Mit� e murmMel4cenaed P�uem to tha ConUaqas L'mus lew). � I em axemp udr Ssrmn: B. 8 P.C.. lar tive �eum: Dme: Owiw: � do na�eev �«iM mn i em ewme a ena wd«.w�e ine.ew��.u. a cvr�u w.m�.�d s.i.�v coe. sww�. asws. nsa�. ene 2G5J0. erd Nat I a ury Mun buildiip oraryeM wiA / wil nd (dde one) � b oompy wlh wd pete coda� aM iM �puiremam br eDam+RlawnslrutianamotlJWbnhanlMAi�6i yuTi .�anepemeNDiOritl.RUNetl�ouWiutlioneCO�bmenezemdhomlheae o�.: �wr�.: WOPKEP'S COYPEN9ATON DECLAR�TION: I horoby aHum under penelly W perjury ana d IM Idbxinp Aetlualiom: ❑ IM1ewandWmeinlenecw4liWedoaaentloaatlimunbrwaken'mnpr�wion.uprwiEWlaby&aaion�JWdiMLebar Cods.lw �M palwmvca d tM wM la wlich Mn pamn b inued. ❑ I Mw eM Mil meinlein wwken' wmpenamion ineurenca. ee rpuirad by SeUim 3900 d iM lebar Cada. br tM perlormenm d iM work lor whiM ihie permil u inueE. MY wakert cwnpensaiion inarence umer eM poliq n�mber us: Cartim: � aarrN�me«: e«+ion neee na ae cand.�ee � rne w�x is ror a,e nunelee ea�els /srw/ a ress.J � I cenM �hm in ihe peAmmenca d iM wak �w v.hch ihin parmn ia iaeued, I ehel� mi empby e�ry pe�aon in vy menner eo m m Eecome eubjetl b iM workere' canpenaeiion lewa d Calilanis end prm IMt tl I Moutl Exams wbjatl to IM xwken' ( //�� mmV�ion V�+siom d Saaian �)00 W iM labar Code. I tlutl lonhxnh oomWl wN� No'e qovieioen. \D+I�: ACMreN: W/np: Fallun ro��cun woikw�'romperuetlon coverap� h un/ewNl, ene �IW/ ubhct �n xnployx ro cNMrW pwltlu urtl cM� nn.. iy ro m. nuierw �nou,.w aarn lsfao.aaoA N�� ro m. eo.r or eonp..u.rbry e.m.y u povww ror �n Sxtlon J106OI M 1�00/ Codr, Inl�naL Ntllttomyl /sa. CONSTflUCT10N LENDINO AOENCY: I hereby dfi�m uMa peroAy d perjury thm �Mn u e mw�ion bnE"up epenry br tM pMameMe d tM xwF la Mfiitl� tAu peiml b'mawd (�1ion 3091. Lv. GI. LENDEF'S NMIE: LFNDEP'S ADDPE44: I canM thm I hew nM Nu �Ndicetian aM tiw tlw Ma ebave'vdmretion e canetl. I N�a lo camGN xd� eA Ny md owwY ad'ewcva � 8M1d 9181! �8W! IB�� O b1YbY10 CIX1fV WIp1 Blb fM!!b/ BIII�IMR! f!�!l.4B11�&NM d 1�Y! CI)' 10 BM V UPJII �M Gb0.F111l1111011ld p10pM,' (5151eB.WP) Whns&iikiqBSelery: ome: � �i / j 4 RnkJiwax�e: Oddenmb-Memv CITY OF COSTA MESA — BUILDING PERMIT �'� PERM D10: B 087614 PERMIT NO; B 087614 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF WOOD SHAKE RESHEATH W/1/2" CDX SQ FT: 4,800 CLAZM VALUE: 4,800.00 CALC—VALUE: 4,800.00 GROUP OCC: R-3 / COMMENTS: 6 REROOF W/COMP SHINGLES. SMOKR DETECTORS ARE REQUIRED. ***********�-�*u�*****�u�*x�**�**�+�***�r**�r�r*+r+r+c��-�*�r�r�e�r�r+t**�*�r*�r**�t�t*�-*x�f��r**�t�t****�t Z O N I N G R E Q U I R E M E N T S S E T b A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL: 42632408 ZNE: REF NO; PLANNING NOTES> _ > , iF 1E iE iE iF iF jE iF iE ik 1f iE �E 3E 1E i! 1E 1E ff 1E ik f! iE it iE iE iE �E aF fE fE 1E 3ElF ik if iE iE if iF ik iE iE dF �E iF fE iE 1E jE If iE if 1f !E iE iE iE iE �E 1E 1F fElf iE �F �F 1F i! � if iF ic 1E iE iE 1f fF iE D E V E,L O P M E N T S E R V I C E S R E Q U I R E M E N-T S ZONING APPROVED BY DATE: '- HUILDING APPROVED BY ; DATE: ' APPLZCATION ISSUED BY: DATE: QV '1E iF 3f if iE aE iE')E!f iF 1E if if 1F1k iF if iF iE if iF iF3F�iFiF3Fi��iF3F3f� 3F3F3F3F 1F3Fif3F3F �F�TF'7F'iF'i�'iFiF�F�F�E * f� 3E iE if if i! 1f iE if 3E LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL S GM NT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99.75 .50 SMIP/NON—RES PLAN ISSUE FEE " ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 100.25 0.00 �, 0.00 100,25 100.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECK 99.75 .50 if 3i iF iE iE �'r if iF it iF jt jE jF 1E jE if iE 3f it if iF iE iE if �E iE iE if if iE i! 1E if jf iE 1E if�±E 3E iE jE 1E if if iF it iF ik iF �i iE iE ff 1E �3F if if 1E iE 1F iE i' if iE 3E iE iE 3E �1E �E i6 aE 1F iE iE jE 3f iF it I N D I V I D U A L" F.E E H R E A K D O W N TYPE QTY D E S C R I P T I O N"' � UNIT COST TOTAL COST SFR 4800 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 END'OF FEES 0 4,800.00 04-87-1998181:28 Fr�/fi80.2:, RCPT4:ai-8�2c843 PEki'iIT:O&7614 �� CONSTRUCTION ANO PLANNING �� POOL' 'PA _ �APPROVALS Permit# i Date Inspector APPROVAL$ Per,,,,c#' Date Inspector '� t. Temporery Electrical Service or Pole^ 52. Pool & Equipment Locatio� 2. Soil Pipe�Undrgrnd. . � 53. Steel Reinforcement . 3. Electriwl Conduit Utility-Undrgrnd. 54. Forms 4. Electrica� Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcemeni 56. Rough Plum6ing & Pressure Test . 6. Electrice� UFER Grnd. 57. APPROVAL TO COVER�GUNITE � 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation . � 59. Gas Pipe, O Undrgmd., Test � � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Struttural Floor System 61. APPROVAL TO DECK 71. Property Sewer line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Piumb�ng SYstem � Finai 74. Rough Plumbin9 65. Electrical-Final 75. flough �lectrical-Conduit • 66. Solar System�Final 16. Rough Elearic Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrica6T Bar Ceiiing • -69. POOL/SPA SYSTEMS FINAL 19. Rough Neat'ing & Air Conditioning FIRE DEPT. REQUIREMENT 20. flough �actory Fireplace APPROVALS Permit # 21. Outts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Pipin� O Gas ❑ Oii 23. Gae Pipe•Rough & Test 72. Unde{ground Flush 24. Roof Framing . 73. Undergmd. Storege Tank O Gas ❑ Oil 25. Roof Sheathing � y/Q-` � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat .. 75. Dry Chemical . 27.. Frame and Flashing 76. Dry Standpipe � 26. Lathing & Siding ' � � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: • 34. Final Heating & Air Conditioning �(� j_C/ B` . 1L-Y �� c o /�p"J 35. Final Gas Pipe-Test � � �[ 38. Hood or Canopy , 37. Final Factory Firepiace .� 38. Final PlUmbing • .� 39. Water Service�Fina�� ' 40. Gas Service-Final 41. Solar pomestic-Final , � 42. Backflow Preventer 43. Backflow Irrigation � , 44. LandscaPe Irripation System. . 45. Sound Attenuation • , 46. Handicap Regulations � , 47. FINAL STRUCTURE & BUILDING ;.`�{ �- � 48. F�NAL PLANNING . - 49. Electric Retease to Edison -" , 50. Gas Release to Southem California Gas Co '-' 51. CERTIFICATE OF OCCUPANCY . _ No. Date COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ma, CaG[omia Phone: KI 2-6211 Application for Building Permit 'AND FOR A Certificate of Use and Occupancy Permit No.. J..�O�.�•..... D,te.....�-r.-�..`..%_...---/. -........ i.. .rl... 5.!. /� p /� ?E�ceti 1. OWNER'S NAME. ..../-L%�.��.�c.....�.. F!.1..�.!X..�.�_.5.� .............--------......------.. PHONE:_--.....�.`.3..Q��....-- MAILING ADD[tESS./- �- .S .ViiP�1�i� O/� ....�iQ!¢�.c-�!l�....-�0.� � ..- -- CITY..,,( i.O..�i...�e../Q'.....,YJ�I...�n.,�/.¢:.. Name (Archicec[ or Engincer) Addrcss City ... Stare Lic. N ......... Namc .,Q.�.61 t..Zs.......�i.- �.fl�-.Q.lJ.�..�.� ............... (Concractor) ......... Address ...,rT. R:1.I.:f..E.......L.r7!:. 5....."-•!.�'�..'�P.._V..�-.a'._ ............. City , �.��%.��..�. / r-_--' ................-'-----......... ......... .."'...'..... Statc � Q' �� ►� ......... Lic. No..%�'`..9..%5� ............... Phone.-----��g-��...--..._. PROPOSED USE:._ - �Y_t..Y..t4-�-�-- ......K.E-�.,5-� � E./IiC�E---..._._ ......................................................� --...... z. JoaLocnTiorr -�6.�..-_ER.�_�.......�.�.��._..._S.�ve��..i._�.�..��.�.....�7.ES.R..:...eRL.�. �. (Housc No.) (Name o( S.reet) (Town or 5<hool Distritt) 3. LEGAL DESCRIPTION: Loc--------�--------------.---........--.....Block .----------... Tract.....�_.�..�'�.----------.. (Me:cs and Bounds Description—Use reverse :ide of form) 4. CORNER LOT ( ) II�TERIOR LOT ( x) THROUGH LOT ( ) SLOPE OF LOT' ( ) \ i. SIZE OF BLDG.a�.a�._ .X...�'��._..AREA:._I--'J.O.e__�9t�SIZE OF LOT:_.�C1 pX..._L,�.,z �...AREA:...�I..Q...U....� �� L / � / 6. HEIGHT OF BLDG.:........IP ...........................CEILING HEIGHT:...Q._.............__...._.....NO. OF STORIES_...0....N...E............. , � y � 0 � r. I o 7. NO. FAMILIES..__..�.I.J.V�,�e_�__......Si_e of Smallest Bedroom:..�..fZ.........l�-L.Z,........... S�ze of Kitchen..7.....��?......X..��..�__.$' \ F. EXTERIOR WALL CONSTRUCTION:_...S..tr...I�.G.. G.L?..__.!.....INTERIOR WALL ,O GERING.....�LA S� E/�_..___, ..... (Frame, Smcco. EtcJ !4 r (Plastcr%�ryxall, Etc.) •" 9. SETBACKS: Fron[ Yard From Center Line of Streec...._...._� .................... �� s_ . . ................. .. .� ---�� ------ -=--.....-�-�--��-�--��---�--............ , , � - Nearest Side Yard..._..�1r' .............Rear Yard.....�.Z...........D�stance in Feet Bctween Bldgs. on Same Lot..l?.��..R....�.?......./............ 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. I1. For Accessory Bldgs. and Similar Struc[ures: q I♦ (a) Footing: Width.........[...� .....................Dcpth in (b) Size of (c) Size of Floor (d) Size of i, i� .............Widch of Wall......�?....---_...-----� "CC Material of Floar "CC "CC I2. VALUATION OF�RO,P ED ,Y+(�RK: Induding all labor, plumbing, electrical wiring, hea[ing, fire sprinklers, painting and �v sewage disposal 5-� .j�---. -Ao-`--.---------------- ' / 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE 7NFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. / � Plans Filed:..- - ---� - -'t-- ..�- /- - Bldg. Pcrmit Plan Check Tatal - • Receipt I`'o. Paid to • FOR DEPARTMENTAL USE ONLY FEES: P �D� �� GROUP. DIST. MAP---- SHEET / DATE ...............�.`.. ..._�... S�/ SM-2-51 (Authorized Agent) BY — / I PLAA'S AND STATE........ ENGINEER VERIFIED ........................ COUNI'Y OF ORANGE BUItiDING DEPT. 636 No. Broadway s��t� a,a, c�rom;� Phone: KI 2-6211 � Application for Building Permit AND FOR A Certificate of Use and �ccupancy \� Permit No..�.., .�...�� Date----..lXl.�_�.......1P......�.�., R.1------...... ^ , / . ��i� GGsI�' 1. OWNER'S NAME..y(�.V..t.a----..�:--.._F..F�. .Y.....GZ.V..' �-v...t...--�--� �- ..................... PHONE:--•--..,.�.�.fCPs....--- ,p SVPEY: d Y T��ib�R paY� -� - �+ MAILING AllDRESS--.Z.d--.y�.`.._,l:�.y..e.e.t.p�-.�.!!S.'�r:--^1.....1¢GP.�.,.... CITY..t1.�_�..��+..�.----. .M...�:�!¢.. 2. 3. 4. i. 6. Name .-----'-� Address .._..... Ciry ......'..'...' State Lic. No......__.. Paoi>osED or Enginccr) ��v� Name ..�„l.�.�..C..L�.._......�i.......�.q�lJS-�..�.��.'�-- ga (i�ontrat[or) Address .+Z..�.f�:�e�.....�-�......R._�'..�'(J•�""".....--""""---.. c;�Y --�- - - �� - --.Q......w...�.E...R......---.._ . .................��-�----.. State � FfF C o � Lic. No.-'-------'--"--" .......................... Phone......._..�.'P...�l.. �'.�°'.-----'-' '` i�y p+ � JOB LOCATION Y_B_�..�._�fIS. t....._ �.��. .0 .............. � �.�_� �� t-� �r:. �_-�..L�....��.. _..�!�. �._�.�..,A.-�..�..�. .�: � � (House No.) (Name o( $tree[) (Town oz School District) LEGAL DESCRIPTION: Lot_ ...�-- -�� - - .................._....Block . -- - �- -- .........._............... Tract........._� �� ---- -.....-- (Metes and Bounds Description—Use reverse side of form) CORNER LOT ( ) INTERI R LOT ( ) �THROUGH LOT ( ) SLOPE OF LOT ( ) A SIZE OF BLDG.:...��/...!.�REA:___.�9....4........_.SIZE OF LOT:.......�D��.�,lAREA:........��.�.1% / / ir � HEIGHT OF BLDG.:.........��_...��........._.CEILING HEIGHT:....._.._._�F STORIES .................'...—�� 7. NO. FAMILIES ..................—...-�Sre-of Smallest Eedroom:....___........_..........__....._�--Size of Kitchen._............_�� S. EXTERIOR WALL CONSTRUCTION :............................................INTERIOR WALL COVERING.__.........._.............................. (Frame, Stucm, E[c.) � �„ , � IastcrvDrywall, Etc.) 9. SETBACKS: Front Yard From Cencer Line of Street--.--�.. .� Z ..............�}.. _!....................._.....-.--------.--..............----•--•-- / Ncarest Side Yard......:�............Rcar Yard ........................Distance in Feet Becween Bldgs. on Same Lot........................_.................. 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. Il. For /� " � �1 / !I (a) Footing: Width........-f-� ----- ................Dcpth in Ground......_..�.............Width of Wall....�a.....--............... Accessory � Bldgs. and ,�,.-- 0..-----'--., Similar �b) Si:e of Studs :............................Sp�aci�ngi,--.. ....... CC Matcrial of Floor.--.---•-_......._...........---_----....... S[ructures: :1 7� / (c) Size of Floor (d) Size oE "CC "CC 12. VALUATION OF PROPO WORK: I c ing all labor, plumbing, electrical �viring, heating, fire sprinklers, painting and sewage disposal $ .............:.. .... . .. .. �. �.. . . I3. I HEREBY CERTIFY T T TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AIQD THAT THE CONSTRUCTION WORK WILL COI�'FOR2v1 TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Plans Fi]eJ :..............� � ... S//.............., Sigr FEES: Bldg. Permit Pla❑ Check Total • • Receipt No. Paid to • Date ........._. FOR DEPARTMENTAL USE ONLY D"'� GROUP....... �,.�.......... ... .... rY ..�'(� TYPE........ - ' DIST. � - �--.. �� MAP. - ----- -- ..�....._.... . _� SHEET NO...__...---�.-- DATE....---.....�. /...... S/... ,�.-z.s� PLANS ENGINEER